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    OpenPayerNPI Medicare & MedicaidNorthern Human Services
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    Northern Human Services — Billing Profile & Reimbursement Data

    NPI 1700955028 · Center Conway, NH · Mental Health Clinic/Center (Including Community Mental Health Center)

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    Northern Human Services is a mental health clinic/center (including community mental health center) provider located in Center Conway, New Hampshire. This profile covers 0 Medicare and 29 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNorthern Human Services
    Address626 Eastman Rd Ste B
    CityCenter Conway
    StateNH
    ZIP03813
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedNovember 8, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$64.8M
    Medicare$0

    Key Findings

    NORTHERN HUMAN SERVICES operates clearly as a community behavioral health provider: its top revenue drivers are case management and therapeutic behavioral services (T1016, H2019, H2020) and the overall CPT mix includes heavy psychotherapy (90837, 90834) and psychiatric evaluation codes (90791, 90792). The presence of large counts for short-interval, per-15-minute codes alongside per-diem rehabilitation codes suggests a blended service model that includes frequent in‑community interventions, day programs, and substantial outpatient psychotherapy capacity.

    Revenue is highly concentrated in a few Medicaid codes: the top three Medicaid codes (T1016, H2019, H2020) together account for 80.0% of this provider’s Medicaid revenue, with T1016 generating $25.2M (38.9%), H2019 $16.5M (25.5%), and H2020 $10.1M (15.6%). This concentration indicates that changes in reimbursement or utilization for these specific service lines would disproportionately affect overall revenue.

    The provider is effectively single‑payer on file: there is no Medicare billing on record while Medicaid revenue totals $64.8M, so NORTHERN HUMAN SERVICES’s current revenue stream is heavily dependent on Medicaid enrollment and state policy. The absence of Medicare activity limits cross‑payer diversification and makes the organization sensitive to state Medicaid policy and contracting.

    Competitive standing varies by code. For intensive behavioral supports, H2019 ranks #3 of 33 in-state (94th percentile) and is characterized as notably above typical state volume, indicating NORTHERN HUMAN SERVICES is a leading in-state provider for therapeutic behavioral services; by contrast, T1016 ranks #12 of 33 (66th percentile) and is described as typical, indicating solid but not dominant case management volume.

    Several clinical codes show extreme or notable outlier status versus in‑state peers: 90837 is listed as an extreme outlier (rank #5 of 194, 98th percentile) with $3.2M (4.9%), and 90792 is an extreme outlier (rank #1 of 32, 100th percentile) with $114.9K (0.2%). These signals point to unusually high volumes of long psychotherapy sessions and psychiatric evaluations with medical services relative to most New Hampshire providers.

    Beyond the top three revenue codes, the provider bills a broad set of behavioral health services—supported employment (H2023), family training (T1027), crisis intervention (H2011), psychosocial rehabilitation (H2018), and medication training/support (H0034)—with each code showing typical, unremarkable or mixed volumes. This breadth indicates capacity across rehabilitation, family/caregiver interventions, crisis response, and employment supports rather than a narrow single‑service focus.

    The code mix (heavy per-15-minute codes plus per-diem codes and high-volume psychotherapy CPTs) implies an operational model built around high-frequency, time-based billing and sustained outpatient engagement. That structure can enable steady cash flow under Medicaid but also concentrates operational risk in staffing and scheduling to maintain the high claim counts reported (for example, 183.5K claims for H2019 and 92.7K claims for T1016).

    NORTHERN HUMAN SERVICES has long tenure in the registry (NPI enumerated 2006-11-08, ~20 years ago), which supports interpretation of its high-volume Medicaid footprint as an established state market participant rather than a recent entrant; combined with its Medicaid concentration and several top-state ranks, the provider is a significant Medicaid behavioral health operator in New Hampshire but carries limited Medicare exposure.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1016Case management, each 15 minutes92,680$270$25.2M
    H2019Therapeutic behavioral services, per 15 minutes183,450$90$16.5M
    H2020Therapeutic behavioral services, per diem71,970$140$10.1M
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…51,570$60$3.2M
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…50,360$40$2.2M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…33,990$40$1.4M
    H2023Supported employment, per 15 minutes12,030$70$853.8K
    T1027Family training and counseling for child development, per 15 minutes12,150$60$777.7K
    90847A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…9,300$80$725.2K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…20,900$30$689.5K

    Showing 1–10 of 29

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Hampshire median

    29 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1016Case management, each 15 minutes123035,170$170$12.5M
    H2020Therapeutic behavioral services, per diem31038,630$170$7.8M
    H2019Therapeutic behavioral services, per 15 minutes3303,880$90$4.4M
    H2023Supported employment, per 15 minutes143011,450$120$2.3M
    H2018Psychosocial rehabilitation services, per diem3109,710$90$1.9M
    H2015Comprehensive community support services, per 15 minutes213010,280$90$1.5M
    H2011Crisis intervention service, per 15 minutes7201,900$180$829.6K
    90847A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…830600$90$719.5K
    H0034Medication training and support, per 15 minutes61017,440$30$709.6K
    T1027Family training and counseling for child development, per 15 minutes7302,010$80$516.4K

    Showing 1–10 of 29

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Northern Human Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northern Human ServicesNHEarly Intervention Provider Agency$0$172.8M
    NPI 1508975582——$97.7K$0
    Dawn HolemonMOPsychiatry Physician$38.5K$51.7K
    Donna ComireNHPsychiatric/Mental Health Nurse Practitioner$88.2K$0
    Paul LidstromNHPsychiatry Physician$63.6K$0
    Robert MurrayNHPsychiatry Physician$53.6K$0
    Laurie BrodeurNHClinical Psychologist$9.6K$0
    Michele AuthierNHClinical Social Worker$2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Hampshire Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Northern Human Services — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire